Leprosy Mailing List – December 16, 2013
Ref.: (LML) Thalidomide in treating kidney involvement in ENL
From: Jingquan Wang, Zhejiang, China
Dear Dr Schreuder,
Thalidomide is recommended to be the first choice drugs to treat ENL in China. Recently I have used thalidomide to treat a severe ENL case with kidney involvement. The female patient aged 45, presented with ENL on the face and limbs, accompanied by albuminuria, blood in urine and leukocyturia. I treated her with thalidomide 300 mg daily and she responded well with subsiding skin lesions and disappearing albuminuria except persistent blood in urine and leukocyturia.
I would like to ask readers of the LML if anyone has any experience about the use of thalidomide in treating kidney involvement of ENL reactions. I am wondering whether thalidomide can treat the other organs involvement in ENL reactions.
Best regards,
Jingquan Wang
Chief physician
Institute of Dermatology of Zhejiang Province,
China,313200
LML - S Deepak, B Naafs, S Noto and P Schreuder
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